| NPI | 1427510999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T5294) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.41827) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-05-12 |